To The Comptroller of Customs, NassauI /we of Coopers Town, March Habour Abaco BahamasHereby authorized Champion Shipping & Brokers on my/our * behalfto declare the value and other matters relating to the goods concerned, in respect of all goods imported by me/us*, hereby declare that the signature endorsed below is the specimen of the signature which will be used by the person/company* authorized by me/us*.
Champion Shipping & Brokers
Specimen of Signature
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